Erlotinib

Zoo Siab

• Ua ntej noj cov tshuaj erlotinib,
• Erlotinib yuav ua rau muaj kev phiv tshuaj. Qhia rau koj tus kws kho mob yog tias ib qho ntawm cov tsos mob no hnyav lossis tsis ploj mus:
• Qee qhov kev mob tshwm sim tuaj yeem loj heev. Yog tias koj muaj cov tsos mob no, hu rau koj tus kws kho mob sai lossis tau txais kev kho mob kub ceev:
• Cov tsos mob ntawm kev haus ntau tshaj yuav suav nrog:

Erlotinib yog siv los kho qee hom mob qog nqaij hlav hauv hlwb tsawg tsawg uas tau kis mus rau cov ntaub so ntswg ze lossis lwm qhov chaw hauv lub cev hauv cov neeg mob uas tau kho nrog tsawg kawg ib yam tshuaj kho mob thiab tsis tau zoo dua. Erlotinib tseem tseem siv ua ke nrog lwm cov tshuaj (gemcitabine [Gemzar]) los kho mob qog nqaij hlav uas tau kis mus rau cov nqaij mob nyob ze lossis rau lwm qhov ntawm lub cev thiab tsis tuaj yeem kho nrog kev phais mob. Erlotinib yog nyob rau hauv chav kawm ntawm cov tshuaj hu ua kinase inhibitors. Nws ua haujlwm los ntawm kev thaiv qhov kev txiav txim ntawm cov protein tsis txaus uas ua rau muaj hlwb hlav hlav. Qhov no yuav pab kom qeeb los yog txwv tsis pub kis mob hlwb.

Erlotinib los ua ib ntsiav tshuaj noj ntawm qhov ncauj. Nws feem ntau yog noj ntawm lub plab khoob ib hnub ib zaug, tsawg kawg 1 teev ua ntej lossis 2 teev tom qab noj mov lossis noj khoom txom ncauj. Noj erlotinib nyob ib ncig ntawm tib lub sijhawm txhua hnub. Ua raws li cov lus qhia ntawm koj daim ntawv sau tshuaj noj kom zoo, thiab nug koj tus kws kho mob lossis kws muag tshuaj kom piav qhia ib feem uas koj tsis nkag siab. Noj erlotinib raws nraim li qhia. Tsis txhob noj ntau dua lossis tsawg dua lossis siv ntau dua li uas koj tus kws khomob tau qhia.

Koj tus kws kho mob tuaj yeem txo koj cov tshuaj erlotinib thaum kho koj. Qhov no nws nyob ntawm seb cov tshuaj ua hauj lwm zoo npaum li cas rau koj thiab kev phiv uas koj ntsib. Tham nrog koj tus kws kho mob txog saib koj xav li cas thaum kho koj tus mob. Txuas ntxiv noj cov tshuaj erlotinib txawm hais tias koj tus kheej yuav zoo siab. Tsis txhob tsum noj erlotinib yam tsis tau nrog koj tus kws kho mob tham.

Cov tshuaj no tuaj yeem tsim tawm rau lwm txoj kev siv; nug koj tus kws kho mob lossis kws muag tshuaj kom paub ntaub ntawv ntau ntxiv.

Ua ntej noj cov tshuaj erlotinib,

• qhia rau koj tus kws kho mob thiab tus kws muag tshuaj yog tias koj muaj kev fab tshuaj rau erlotinib, lwm yam tshuaj, lossis lwm yam tshuaj hauv cov ntsiav tshuaj erlotinib. Nug koj tus kws muag tshuaj rau cov npe ntawm cov khoom xyaw.
• qhia rau koj tus kws kho mob thiab tus kws muag tshuaj tias yam tshuaj twg thiab cov ntawv yuav tshuaj, cov vitamins, thiab cov khoom noj muaj txiaj ntsig koj noj lossis npaj yuav noj. Nco ntsoov hais qhov ib qho ntawm cov hauv qab no: angiogenesis inhibitors xws li bevacizumab (Avastin); anticoagulants ('cov ntshav ua kom nyias nyias nyias') xws li warfarin (Coumadin); tej yam tshuaj tua kab mob xws li itraconazole (Sporanox), ketoconazole (Nizoral), posaconazole (Noxafil), thiab voriconazole (Vfend); boceprevir (Victrelis); carbamazepine (Tegretol); ciprofloxacin (Cipro, Proquin XR); clarithromycin (Biaxin); conivaptan (Vaprisol); HIV protease inhibitors xws li atazanavir (Reyataz), indinavir (Crixivan), lopinavir / ritonavir (Kaletra), nelfinavir (Viracept), ritonavir (Norvir), thiab saquinavir (Fortovase, Invirase); H₂ blockers xws li cimetidine (Tagamet), famotidine (Pepcid), nizatidine (Axid), thiab ranitidine (Zantac); tshuaj kho pob txuv xws li benzoyl peroxide (hauv Epiduo, hauv BenzaClin, hauv Benzamycin, lwm tus); midazolam (Versed): nefazodone; nonsteroidal anti-inflammatory tshuaj (NSAIDs) xws li ibuprofen (Advil, Motrin) thiab naproxen (Aleve, Naprosyn); qhov ncauj steroids xws li dexamethasone (Decadron, Dexone), methylprednisolone (Medrol), thiab prednisone (Deltasone); phenobarbital (Luminal, Solfoton); phenytoin (Dilantin); proton twj tso kua mis inhibitors xws li esomeprazole (Nexium), lansoprazole (Prevacid), omeprazole (Prilosec), pantoprazole (Protonix), thiab rabeprazole (AcipHex); rifabutin (Mycobutin); phom phom (Rifadin, Rimactane); phom loj; cov tshuaj noj rau mob qog noj ntshav mob xws li docetaxel (Taxotere) thiab paclitaxel (Abraxane, Taxol); telithromycin (Ketek); teriflunomide (Aubagio); thiab troleandomycin (TAO) (tsis muaj nyob rau hauv Asmeskas). Koj tus kws kho mob tej zaum yuav tau hloov qhov tshuaj ntawm koj cov tshuaj lossis saib xyuas koj kom zoo rau kev phiv. Ntau lwm yam tshuaj yuav tuaj yeem cuam tshuam nrog erlotinib, yog li nco ntsoov qhia koj tus kws kho mob txog txhua yam tshuaj uas koj siv, txawm tias tsis tshwm nyob hauv daim ntawv no.
• yog tias koj noj tshuaj antacids, noj lawv ob peb teev ua ntej lossis ob peb teev tom qab koj siv tshuaj erlotinib.
• qhia koj tus kws kho mob tias yam tshuaj ntsuab koj noj, tshwj xeeb tshaj yog St. John wort.
• qhia rau koj tus kws kho mob yog tias koj tab tom tau txais kev kho mob los yog nyuam qhuav tau txais kev kho mob los ntawm kev siv tshuaj kho mob lossis kho hluav taws xob (kho mob qog nqaij hlav uas siv hluav taws xob muaj zog ntau los tua cov qog nqaij hlav cancer). Tsis tas li ntawd qhia koj tus kws kho mob yog tias koj tau lossis muaj dua li mob ntsws lossis mob voos, mob plab, mob voos
• qhia rau koj tus kws kho mob yog tias koj cev xeeb tub los yog npaj yuav cev xeeb tub. Koj yuav tsum tsis txhob cev xeeb tub thaum koj noj tshuaj erlotinib thiab tsawg kawg 1 hlis tom qab koj zaum kawg. Tham nrog koj tus kws kho mob txog kev tswj tsis pub muaj menyuam uas koj tuaj yeem siv. Yog tias koj xeeb tub, hu rau koj tus kws kho mob tam sim ntawd. Erlotinib tuaj yeem tsim kev puas tsuaj rau tus menyuam hauv plab.
• qhia rau koj tus kws kho mob yog tias koj pub mis niam rau menyuam. Koj yuav tsum tsis txhob pub mis niam rau lub sijhawm kho koj nrog erlotinib thiab ntev txog 2 lub lis piam tom qab koj zaum kawg.
• yog tias koj muaj kev phais, suav nrog kev phais hniav, qhia tus kws kho mob lossis kws kho hniav tias koj noj tshuaj erlotinib.
• qhia rau koj tus kws kho mob yog tias koj siv cov tshuaj luam yeeb. Kev haus luam yeeb muaj peev xwm txo qis kev ua haujlwm ntawm cov tshuaj no.
• npaj kom tsis txhob muaj qhov phom sij lossis tsis raug rau lub hnub ci thiab hnav lub kaus mom, lwm yam khaub ncaws tiv thaiv, tsom iav, thiab tshuaj pleev thaiv hnub. Xaiv cov tshuaj pleev thaiv hnub uas muaj qhov tiv thaiv tshav ntuj (SPF) tsawg kawg 15 thiab muaj zinc oxide lossis titanium dioxide. Raug tiv thaiv tshav ntuj ntxiv qhov kev pheej hmoo uas koj yuav ua pob khaus thaum kho nrog erlotinib.
• koj yuav tsum paub tias erlotinib tuaj yeem ua pob thiab lwm cov teeb meem ntawm daim tawv nqaij. Txhawm rau tiv thaiv koj cov tawv nqaij, siv cov tshuaj tsw qab uas tsis muaj cawv, ntxuav koj cov tawv nqaij nrog xab npum me me, thiab tshem cov tshuaj pleev ib ce nrog tshuaj ntxuav me me.

Zam txhob noj cov txiv kab ntxwv qaub thiab haus kua txiv txiv kab ntxwv thaum noj cov tshuaj no.

Txhawm rau tiv thaiv mob raws plab uas ua los ntawm erlotinib, haus me me ntawm kua xws li haus cov dej uas tsis muaj piam thaj ntau ib hnub, noj cov zaub mov me me xws li khaub noom thiab ci, thiab zam tej khoom noj ntsim.

Noj cov koob tshuaj tom ntej koj li sijhawm hnub tom qab. Tsis txhob noj tshuaj rau ob zaug kom ua rau qhov ploj lawm ib zaug.

Erlotinib yuav ua rau muaj kev phiv tshuaj. Qhia rau koj tus kws kho mob yog tias ib qho ntawm cov tsos mob no hnyav lossis tsis ploj mus:

• zawv plab
• tsis qab los noj mov
• xeev siab
• ntuav
• Kev mob siab
• roj
• cem quav
• qhov ncauj tawm
• poob phaus
• nkees heev
• mob taub hau
• pob txha lossis mob leeg
• kev nyuaj siab
• ntxhov siab
• loog, hlawv, lossis tingling ntawm txhais tes lossis taw
• o ntawm caj npab, tes, taw, pob taws, lossis ceg qis
• darkening ntawm daim tawv nqaij
• plaub hau poob
• hloov pauv ntawm cov tsos ntawm cov plaub hau thiab rau tes

Qee qhov kev mob tshwm sim tuaj yeem loj heev. Yog tias koj muaj cov tsos mob no, hu rau koj tus kws kho mob sai lossis tau txais kev kho mob kub ceev:

• pob khaus (yuav zoo li pob khaus thiab yuav cuam tshuam rau daim tawv nqaij ntawm lub ntsej muag, lub hauv siab, lossis sab nraub qaum)
• blistering, tev, qhuav, lossis tawg tawv nqaij
• khaus, khaus, lossis kub ntawm daim tawv nqaij
• txog siav
• hnoos
• ua npaws lossis ua daus no
• kev loj hlob ntawm cov tawv muag sab hauv ntawm daim tawv muag
• mob plab heev
• qhov muag liab, liab, mob, muag lossis lossis qhov muag
• qhov muag plooj
• qhov muag rhiab rau lub teeb
• mob hauv siab lossis siab
• mob hauv caj npab, caj dab, lossis nraub qaum
• lub plawv dhia ceev ceev, tsis meej, los yog sib tsoo
• maj lossis hais lus nyuaj
• kiv tob hau lossis tsaus muag
• tsis muaj zog lossis loog ntawm ib sab caj npab lossis txhais ceg
• doog ntshav los ntshav tsis txawv
• dub thiab tarry lossis ntshav cov quav
• ntuav yog ntshav lossis zoo li thaj chaw kas fes
• sunken ob lub qhov muag
• qhov ncauj qhuav
• tsis tso zis tsawg
• tsaus zis
• tawv nqaij daj lossis daj
• liab, sov, mob, rhiab, lossis o rau ib txhais ceg

Erlotinib yuav ua rau muaj kev phiv lwm yam tshuaj. Hu rau koj tus kws kho mob yog tias koj muaj teeb meem txawv txawv thaum noj cov tshuaj no.

Yog tias koj muaj kev mob tshwm sim loj, koj lossis koj tus kws kho mob tuaj yeem xa ntawv ceeb toom rau Food and Drug Administration's (FDA) MedWatch Adverse Event Reporting program online (http://www.fda.gov/Safety/MedWatch) lossis hauv xov tooj ( 1-800-332-1088).

Khaws cov tshuaj no rau hauv lub khob uas nws nkag los, kaw kom nruj, thiab ncav tsis cuag ntawm cov menyuam. Khaws nws ntawm chav sov thiab deb ntawm qhov kub thiab noo noo (tsis nyob hauv chav dej).

Cov tshuaj tsis siv tshuaj yuav tsum tau muab pov tseg hauv txoj kev tshwj xeeb kom ntseeg tau tias cov tsiaj, menyuam yaus, thiab lwm tus neeg tsis tuaj yeem haus lawv. Txawm li cas los xij, koj yuav tsum tsis txhob yaug cov tshuaj no hauv lub qhov viv. Hloov chaw, txoj hauv kev zoo tshaj plaws hauv kev muab koj cov tshuaj tshem tawm yog los ntawm kev siv tshuaj rov qab. Tham nrog koj tus kws muag tshuaj lossis tiv tauj koj lub chaw khaws khib nyiab / chaw khaws khoom ubno hauv ib cheeb tsam kom paub txog cov haujlwm thim rov qab hauv koj lub zej zog. Saib ntawm FDA's Kev Nyab Xeeb Kev Nyab Xeeb Kev Siv Tshuaj lub vev xaib (http://goo.gl/c4Rm4p) kom paub cov ntaub ntawv ntau ntxiv yog tias koj tsis muaj kev nkag mus saib rov qab.

Nws yog ib qho tseem ceeb kom tsis txhob muaj txhua yam tshuaj rau qhov tsis pom thiab ncav cuag ntawm cov menyuam yaus ntau li ntau ntim (xws li tshuaj ntsiav tshuaj txhua lub limtiam thiab cov tshuaj rau qhov muag, tshuaj pleev, pleev xim, thiab nqus tshuaj) tsis tiv thaiv menyuam yaus thiab cov menyuam yaus tuaj yeem qhib lawv tau yooj yim. Txhawm rau tiv thaiv cov menyuam yaus me los ntawm kev lom, ib txwm kaw lub kaus mom kev nyab xeeb thiab muab cov tshuaj tso rau qhov chaw nyab xeeb - ib qho chaw nyob thiab deb thiab tawm ntawm lawv pom thiab ncav cuag. http://www.upandaway.org

Yog hais tias noj ntau dhau, hu rau kem tus xov tooj kev pab tswj kev lom ntawm 1-800-222-1222. Cov ntaub ntawv tseem muaj nyob online ntawm https://www.poisonhelp.org/help. Yog tus neeg raug tsim txom, tsaus muag, ua tsis taus pa, lossis sawv tsis taus, hu rau 911 tus neeg pab thaum muaj xwm ceev.

Cov tsos mob ntawm kev haus ntau tshaj yuav suav nrog:

• zawv plab
• ua pob

Khaws tag nrho cov kev teem caij mus ntsib koj tus kws kho mob thiab chav kuaj mob. Koj tus kws khomob yuav xaj kuaj qee yam kuaj sim saib koj lub cev teb li cas rau erlotinib.

Tsis txhob cia lwm tus noj koj cov tshuaj. Nug koj tus kws muag tshuaj cov lus nug uas koj muaj txog kev rov ntxiv tshuaj rau koj.

Nws yog ib qho tseem ceeb rau koj kom koj muaj ib daim ntawv sau tag nrho cov tshuaj noj thiab cov tshuaj uas tsis yog kws kho mob sau ntawv (tsis yuav khoom) uas koj tab tom noj, nrog rau txhua yam khoom xws li cov vitamins, minerals, lossis lwm yam tshuaj noj rau lub cev. Koj yuav tsum nqa cov ntawv no nrog koj txhua zaus koj mus ntsib kws kho mob lossis yog tias koj tuaj nyob hauv tsev kho mob. Nws tseem yog cov ntaub ntawv tseem ceeb los nqa nrog koj thaum muaj xwm txheej ceev.

• Tarceva^®